NPI | 1003853813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV NV 2105C) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV NV00191-LC) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2016-09-16 |